Luis R Perez Cruz, MD – General Practice Physician

Key facts

NPI: 1477639490
Entity type: Individual (NPI type 1)
Primary specialty: General Practice Physician 208D00000X
License: 14076 (PR)
Practice address: Road No. 115 Interior Bo Pueblo
Rincon, PR 00677
Phone: (787) 823-6150
NPI assigned: Oct 31, 2006
Sex: Male
Sole proprietor: Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Aguadilla Medical Services, Inc Radiology Clinic/Center · Aguadilla, PR · NPI 1902210800

NPD (past)

Medicare Care Compare profile

Specialty: General Practice
Education: Other, 1998
Medicare assignment: Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

24188 HC
Suite 2
San Sebastian, PR 00685-9303

4 Carr
115 KM
Rincon, PR 00677-2626
Phone (787) 823-6150

HC 02 Box
Suite 24188
San Sebastian, PR 00685-9303

Medicare participation

Medicare fee-for-service enrollment: Enrolled in PR
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20031112000386	PR	Practitioner - General Practice	5991618118	Practice locations: Rincon, PR

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

Practice roles

Organization	Specialty	Status	New patients
Aguadilla Medical Services, Inc		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Physician	208D00000X	14076	PR	Yes

Addresses

Primary practice location

Road No. 115 Interior Bo Pueblo
Rincon, PR 00677

Mailing address

HC 2 Box 24188
San Sebastian, PR 00685-9303

Other providers in Rincon, PR

Jose Anibal Morales Barreto, M.D.
Daisy Morales-Gonzalez, MA
Noralis Muniz Hernandez, PHARMD
Juan S Muniz, TEM
Maria A. Ortiz, M.D.
Lynn Marie Perez Marty
Vanessa Giselle Pozzi Lorenzo, PHARMD
Luis E Prats, M.D.
Professional Healthcare Ambulance Services, Inc.
Luis G. Ramon-Villaronga, PH.D.

All providers in Rincon, PR · General Practice Physician in Puerto Rico

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2019. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.